Community asaDental Health Report
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Transcript of Community asaDental Health Report
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Community Oral Health
JACOSALEM, Miralyn D.
DIZON, Karl Lester
DOLOSO, Shyra Jane
DEL FIERRO, Brandon
KAFAYATI, Kamran
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-is the science and art of preventing and controlling dental
diseases and promoting dental health through organizedcommunity effort.
-it is that form of community as a patient rather than theindividual.
-it is concerned with dental health education of the public,
with applied dental research, and with the administration ofgroup, as well as the prevention and control of dentaldiseases on a community basis (American Board of DentalPublic Health, ABDPH)
Dental Public Health
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-is the science and art of helping people and society
change their lifestyles to attain optimal health
Health Promotion
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o It includes educational programs such as tobacco
prevention and cessation programs and public schooloral hygiene instructions
o Social programs include water fluoridation andschool sealant programs
o Legislative activities include creating laws andfunding for programs that promote oral health andcreate increased access to care
Oral Health Promotion
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-is learning experience directed at helping peopleprevent oral disease
-it can be presented directly to clients throughindividual or group activities such as health fairs or inschool curricula
Oral Health Education
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3 LEVELS OF DISEASE PREVENTION
1. Primary Prevention is the intervention in diseasebefore it occurs
e.g. community water fluoridation
fluoride varnish
pit and fissure sealant
preventive education
Prevention and Oral HealthPromotion
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2. Secondary Prevention is the treatment or control of
the disease early in the processe.g. conservative amalgam restoration
remineralization of early caries
conservative periodontal therapy
Prevention and Oral HealthPromotion
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3. Tertiary Prevention is limiting the disability from a
disease or rehabilitation of an individual
e.g. Dentures or other prosthetic devices
Periodontal surgery
Prevention and Oral HealthPromotion
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-it includes customs, values, social networks and
ethnicity are associated with oral diseases
This factors may affect the health of an individual on the
1. Micro Level: Individual
-characteristic such as age, gender,socioeconomic position, ethnicity and race may dictateones place in a culture, community, society or familygroup
Social Factors in Oral HealthPromotion
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2. Meso Level: Institutional
-institutions, organization and social networksinfluence and sustain individual behavioral norms andhealth practices
family is the most powerful social determinant in oral health;values, beliefs and knowledge stem from the home and may be
based in cultural traditions-groups and organization , such as athleticassociation, reflect social norms that influence oralhealth
Social Factors in Oral HealthPromotion
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3. Macro Level: Agencies
-culture and society have control over oral health
Social Factors in Oral HealthPromotion
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-social, cognitive and emotional factors such as stress,
values, attitudes, self-esteem, helplessness,vulnerability, isolation, emotional poverty, familymodeling and beliefs and the influence of the mediaplay a role in health behaviors
-positive health behaviors that promotes general healthalso contribute to oral health
Psychological Factors in Oral Health
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Health behaviors that improve oral health include:
Regular tooth brushing
Use of interdental cleaning devices
Regular self-oral exams
Use of oral protective mouth guards and protective gear
during sports activities
Psychological Factors in Oral Health
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INTERVENTION
-any health action-any promotive, preventive,curative or rehabilitative activity in which the primaryintent is to improve health
-it should be effective and efficient and based on
sound rationale
Components of Effective Oral HealthPromotion Programs
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ASPECTS OF EFFECTIVE HEALTH PROMOTION PROGRAMS
Not dependent on compliance Cost-effective
Assurance of correct use
Adequate funding
Available to those in need
Effective in reducing disease incidence Feasible
Safe
Evaluated frequently
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FLUORIDESone of the most effective anticaries
methods developed to date-widely used on a global scale
A. Community Water Fluoridation
-according to Federation Dentaire International
(FDI), fluoridation of water supplies, where possible,remains the prevention and treatment of dental decay
Dental Programs
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The WHO, in support of water fluoridation, has set
requirements for its use: Areas with moderate or high risk of dental caries
Areas where the economy can support it and the technologyis available
Areas where water supplies are well organized, used by the
public, and appropriately funded Equipment in the water plant should be of high standard
Fluoride chemicals should be available and trained personnelshould be available to manage the system
Dental Programs
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Dental Programs
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B. Fluoridated Bottled water
-as more people especially children areconsuming bottled water, community waterfluoridation has less impact on the greater population
-health conscious parents have a choice to give
their children bottled water with or without fluoridelevels optimized
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C. School Water Fluoridation
-an alternative to community water fluoridation
-this method can be used if the school has astandalone water system that is not connected to thecommunity water supply
-because children are only at school part of eachweekday the recommended concentration is 4.5timesthan the optimal concentration for community system
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D. Fluoride Gels
-strengthens the tooth enamel
against the detrimental effects
of the bacterial activities
that may result in tooth decay
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Before applying the fluoride gel, put disclosing solution on
the childs teeth, remove plaque and calculus by scaling. Thenuse the prophy cup and brush Using gentle finger pressure, open the childs mouth Select the appropriate size of tray Dry the patients mouth with
a gauze sponge and make surethere is no open cavity Place fluoride gel on the tray(about 1/3 of the tray)
Application
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Gently place it into the patients mouth
Post Application Instructions
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E. Fluoride Varnish
-is a liquid which when painted on the surfaces ofteeth forms a coat of fluoride
and supplies fluoride to the
teeth in a sustained manner
over several hours as against
gels or foams. Fluoride varnishes
are found to be more effective
than fluoride gels or foams.
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Application
Brush the patients mouth
Dry the patients mouth and apply fluoride varnish byquadrant
Avoid applying fluoride varnish on large open cavitywhere there may be pulp involvement
Varnish dries quickly upon contact with the saliva
Post application instructions
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Fluoride Varnish
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-are thin plastic coatings that are applied to the
grooves on the chewing surfaces of the back teeth toprotect them from tooth decay.
-The sealant quickly bonds into the depressionsand grooves of the teeth, forming a protective shield
over the enamel of each tooth.
Dental Sealants
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-most tooth decay in children and teens occurs
on these surfaces. Sealants protect the chewingsurfaces from tooth decay by keeping germs and foodparticles out of these grooves
-although thorough brushing and flossing canremove food particles and plaque from smooth surfaces
of teeth, they cannot always get into all the nooks andcrannies of the back teeth to remove the food andplaque.
Dental Sealants
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1. First the teeth that are to be sealed are thoroughly
cleaned.2. Each tooth is then dried, and cotton or another
absorbent material is put around the tooth to keep it dry.
3. An acid solution is put on the chewing surfaces(etching)of the teeth to roughen them up, which helps the sealantbond to the teeth.
4. The teeth are then rinsed and dried.
Application
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Sealants can protect teeth from decay for up to 10
years, but they need to be checked for chipping orwearing at regular dental check-ups. Your dentist canreplace sealants as necessary.
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Tooth decay (dental caries) affects children more
than any other chronic infectious disease Untreated tooth decay causes pain and infections
that may lead to problems; such as eating, speaking,playing, and learning.
Children's Oral Health
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What Parents and Caregivers Can Do
Encourage your children to eat regular nutritious meals, avoidfrequent between-meal snacking and to brush their teethregularly (3x a day).
Protect your child's teeth with fluoride.
Use a fluoride toothpaste. If your child is less than 7 years old,put only a pea-sized amount on their toothbrush.
If your drinking water is not fluoridated, talk to a dentist orphysician about the best way to protect your child's teeth.
Children's Oral Health
http://www.cdc.gov/fluoridation/index.htmhttp://www.cdc.gov/fluoridation/index.htm -
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Talk to your child's dentist about dental sealants.
They protect teeth from decay. If you are pregnant, get prenatal care and eat a
healthy diet. The diet should include folic acid toprevent birth defects of the brain and spinal cord and
possibly cleft lip/palate.
http://www.cdc.gov/OralHealth/publications/faqs/sealants.htmhttp://www.cdc.gov/OralHealth/publications/faqs/sealants.htm -
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Tooth brushing is very important
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Visit your dentist regularly
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